family physicians culminated yesterday, their third day of strike, with a follow-up of over 60%. The pulse of the Government to claim more resources has taken effect, and the Catalan Health Institute (ICS), the public company that manages the 80% of the primary care, has put on the table a package of measures amounting to 100 million euros. In addition, the ICS has made an offer to free the controversial point: the limitation of the time to visit and consultations daily. The public entity proposes to add 200 medical and overtime pay to reduce the burden of care.
The negotiations between the parties continued yesterday in march, but with positions closer than the previous days, which ended without agreement, nor likely to achieve it. The conflict is enquistaba always at the same point: the union Metges de Catalunya, the convenor of the strike, requires limiting the number of visits daily to 28 and to ensure a minimum of 12 minutes for each patient. The ICS refuses to apply these parameters by decree.
The conversations began to desencallarse yesterday when the ICS became available to the union a report on the burdens of the work center by center and launched a special offer: on the basis of this study, we measured the overhead of each optional according to the number and complexity of the patients of its quota, the company will examine each case in particular. Those doctors who have more patients that you touch, you will be offered the possibility to make overtime pay to address the surplus of patients. If rejected, you will reduce the quota to balance their workload and that remnant will go to another doctor. The ICS has to incorporate about 200 doctors to absorb such staffing needs that, also according to the study, posed by the sector.
the managing director of The ICS, Josep Maria Argimon, yesterday admitted, however, that, although they have the money to hire them, the job of the ICS does not have the 200 doctors immediately. To palliate this lack, the ICS has been proposed to have recourse to the agreement of government signed a few days ago and that allows contatar to doctors of non-eu trained in Catalonia. In addition, he said, also relax the retirement age and improve the conditions of recruitment of physicians who complete residency.
“The coming week will be difficult,”
waiting Rooms empty and calls to postpone the appointments made that the CAP of Barcelona to live yesterday your day more peaceful since we started the strike. The news of the strikes deterred many patients, who opted for a change in the date of visit.
“Monday was very chaotic, we had more hassle and complaints, but people have been aware of the strike, and many have called to postpone their appointments,” says Guillermo Ruiz, administrative CAP Gòtic. Yesterday, in this centre there was an overall follow-up of the unemployed and only two doctors attended to the patients to cover the minimum services. In the CAP Doctor Lluís Sayé, the follow-up was also massive. In both cases, the majority of appointments have been postponed for the next week, the workers realized that “will be complicated”. “A strike a day ago that the following days will collapse. With a week of strikes is going to be much worse,” says Yolanda Madrón, CAP Doctor Lluís Sayé. Worse terms the users will have the CAP Drassanes to the South Raval. There, the strike this week, along with the bridge of the next, has made the appointments are aplazen beyond the 15 of December.
In total, the package of measures amounting to 100 million euros. The public body has proposed to double the game to cover low and vacation, to recover 100% of the bonuses for the achievement of goal and the career and improve the salaries of the guards and the emergency services. The ICS wants to spend four million to “aiming to reduce red tape work in the query” —more clinical care and less administrative. Although the vice-president of the Generalitat, Pere Aragonés, subject to the execution of these measures to the approval of the budget, the director of the Catalan Health Service (CatSalut), Adrià Comella, said yesterday that many of the measures “has a travel budget for sure.”
"we Want to demonstrate that we have understood the primary care teams, which deserve to be placed in the focus of the CatSalut", said yesterday Comella. The negotiations between the parties are ongoing. Meanwhile, doctors and patients face on the fourth day of the strike.